R 031553Z OCT 12
UNCLASSIFIED/
MARADMIN 553/12
MSGID/GENADMIN/CMC WASHINGTON DC DMCS //
SUBJ/2012-13 SEASONAL INFLUENZA VACCINE GUIDANCE FOR ACTIVE AND RESERVE COMPONENTS//
REF/A/MSGID:DOC/BUMED WASHINGTON DC/YMD:20060926//
REF/B/MSGID:MSG/CMC WASHINGTON DC PPO/YMD:20101105//
REF/C/MSGID:DOC/CNO WASHINGTON DC/YMD:20091123//
REF/D/MSGID:DOC/32 CFR PART 199/YMD:20091210//
NARR/REF A IS BUMEDINST 6230.15A, IMMUNIZATIONS AND CHEMOPROPHYLAXIS. REF B IS MARADMIN 630/10, REQUIREMENT TO TRACK AND IMPROVE INDIVIDUAL MEDICAL READINESS FOR ACTIVE AND RESERVE COMPONENTS. REF C IS OPNAVINST 3710.7U, NAVAL AIR TRAINING AND OPERATING PROCEDURES STANDARDIZATION GENERAL FLIGHT AND OPERATING INSTRUCTIONS. REF D IS THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES (CHAMPUS)/TRICARE INCLUSION OF RETAIL NETWORK PHARMACIES AS AUTHORIZED TRICARE PROVIDERS FOR THE ADMINISTRATION OF TRICARE COVERED VACCINES.//
POC/PADGETT, WILLIAM/CAPT/UNIT:HQMC/NAME:HS/TEL:703-604-4600 /EMAIL:WILLIAM.PADGETT(AT)USMC.MIL, PREVENTATIVE MEDICINE OFFICER//
POC/SAUCEDA, LEE/HM1/UNIT:HQMC/NAME:PPO/TEL:703-571-1048 /EMAIL:LEE.SAUCEDA(AT)USMC.MIL, MRRS COORDINATOR//
GENTEXT/REMARKS/1.  PURPOSE.  THIS MARADMIN PROVIDES GUIDANCE TO MARINE CORPS ACTIVE AND RESERVE COMPONENTS TO IMPLEMENT THE 2012-2013 INFLUENZA VACCINATION PROGRAM.  COMPREHENSIVE PREVENTION MEASURES MUST BE ENFORCED BY LEADERSHIP THROUGHOUT THE MARINE CORPS TO PREVENT POTENTIAL ADVERSE OPERATIONAL CONSEQUENCES OF INFLUENZA. MAXIMUM INFLUENZA IMMUNIZATION COMPLIANCE REDUCES RISK OF COMPLICATIONS TO PERSONNEL WHO BECOME EXPOSED TO THE VIRUS AND STRENGTHENS THE FORCE'S ABILITY TO LIMIT SPREAD OF THE DISEASE.
2.  BACKGROUND.  PER REFS A AND B, MARINE CORPS ACTIVE AND RESERVE COMPONENTS ARE REQUIRED TO RECEIVE SEASONAL INFLUENZA VACCINATION ANNUALLY, UNLESS MEDICALLY EXEMPT.  DEPARTMENT OF DEFENSE CIVILIANS, MILITARY RETIREES, AND FAMILY MEMBERS ARE HIGHLY ENCOURAGED TO RECEIVE THE INFLUENZA VACCINE FOR THEIR OWN WELL-BEING, AND TO PROVIDE ADDITIONAL DEFENSE AGAINST THE SPREAD OF DISEASE.
3.  EXECUTION.  MARINE CORPS ACTIVE AND RESERVE COMPONENT COMMANDS SHOULD ACHIEVE A 90 PERCENT SEASONAL INFLUENZA VACCINATION COMPLIANCE RATE NO LATER THAN 17 DECEMBER 2012.  PER REF B, THE MEDICAL READINESS REPORTING SYSTEM (MRRS) WILL BE USED TO ENTER VACCINATION STATUS AND MONITOR COMPLIANCE.  DELINQUENT PERSONNEL WILL BE IDENTIFIED AND PROMPTLY IMMUNIZED AT THE EARLIEST OPPORTUNITY.  VACCINATION OF UNIMMUNIZED PERSONNEL WILL CONTINUE UNTIL THE VACCINE SUPPLY IS EXHAUSTED OR THE VACCINE EXPIRATION DATE IS REACHED.  NOTIFY THE HEADQUARTERS, U.S. MARINE CORPS (HQMC) HEALTH SERVICES POINT OF CONTACT (POC) VIA THE CHAIN OF COMMAND IF 90 PERCENT COMPLIANCE IS NOT EXPECTED TO BE ACHIEVED BY 17 DECEMBER 2012 IN ORDER TO COORDINATE MITIGATION STRATEGIES WITH SUPPORTING ORGANIZATIONS.
4.  VACCINE ADMINISTRATION.  THE CENTERS FOR DISEASE CONTROL VACCINE INFORMATION SHEETS WILL BE REVIEWED BY EACH MARINE PRIOR TO IMMUNIZATION.  IF OTHER READINESS VACCINES ARE DUE AT THE SAME TIME AS THE INFLUENZA VACCINE IS REQUIRED, SIMULTANEOUS ADMINISTRATION OF VACCINES SHALL BE ACCOMPLISHED PER REF A.  FOR PERSONNEL IN AN ACTIVE FLYING STATUS EXPOSED TO ALTITUDE CHANGES AS A ROUTINE PART OF THEIR DUTIES, THE LIVE ATTENUATED INFLUENZA VACCINE (FLUMIST) REQUIRES A SELF-CANCELLING GROUNDING PERIOD OF 72 HOURS AFTER IMMUNIZATION.  PERSONNEL IN AN ACTIVE FLYING STATUS BUT NOT ROUTINELY EXPOSED TO ALTITUDE CHANGES AS PART OF THEIR DUTIES, FOR EXAMPLE AIR TRAFFIC CONTROLLERS AND UNMANNED AERIAL SYSTEM OPERATORS, ONLY REQUIRE A 12-HOUR SELF-CANCELLING GROUNDING PER REF C.  FLIGHT SURGEONS MAY RECOMMEND RETURN OF AERONAUTICALLY DESIGNATED PERSONNEL TO DUTY INVOLVING FLIGHT OPERATIONS IN LESS THAN 72 HOURS AFTER FLUMIST WHEN NECESSARY TO MEET REAL WORLD OPERATIONAL COMMITMENTS ON A CASE-BY-CASE BASIS.  THE TRIVAL NT INACTIVATED VACCINE (INJECTABLE) REQUIRES A 12-HOUR SELF-CANCELLING GROUNDING PERIOD PER REF C.
5.  ADVERSE REACTIONS.  MEDICAL PERSONNEL AND EACH MARINE WILL REVIEW SEASONAL INFLUENZA VACCINE CONTRAINDICATIONS AND PRECAUTIONS PRIOR TO VACCINATION.  IN THE EVENT OF AN ADVERSE REACTION, SUBMIT A VACCINE ADVERSE EVENT REPORT.  INSTRUCTIONS CAN BE FOUND AT THE VAERS.HHS.GOV WEBSITE WHICH IS ALSO REFERENCED WITHIN THE MRRS IMMUNIZATION REACTION SECTION.
6.  MEDICAL EXEMPTIONS.  PER REF A, INDIVIDUALS WITH REPORTED HYPERSENSITIVITY ARE DEFERRED FROM IMMUNIZATION.  HYPERSENSITIVITY TO ANY VACCINE, VACCINE COMPONENT, OR MEDICATION WILL BE DOCUMENTED IN MRRS AND THE MEMBER'S HEALTH RECORD.
A.  MEDICAL TEMPORARY EXEMPTION CODE "MT" IS WARRANTED WHEN A PROVIDER HAS CONCERN ABOUT THE EFFECTIVENESS OF INFLUENZA IMMUNIZATION AT THAT TIME FOR PERSONNEL WITH CURRENT MEDICAL CONDITIONS, BUT WHOSE CONDITIONS ARE EXPECTED TO RESOLVE AND ALLOW FUTURE IMMUNIZATION.
B.  MEDICAL PERMANENT EXEMPTION CODE "MP" IS WARRANTED IF THE MEDICAL CONDITION OR POTENTIAL ADVERSE REACTION IS EXPECTED TO PERMANENTLY PRECLUDE INFLUENZA VACCINATION.
C.  NO OTHER REASONS WILL BE USED TO EXEMPT MEMBERS FROM RECEIVING INFLUENZA VACCINE.
7.  ACTION
A.  VACCINATIONS WILL BE DOCUMENTED IN THE MEMBERS HEALTH RECORD AND RECORDED IN MRRS WITHIN 24 HOURS OF ADMINISTRATION.
B.  REF D ALLOWS TRICARE PRIME ENROLLED MEMBERS TO USE TRICARE AUTHORIZED PHARMACIES TO RECEIVE THE SEASONAL INFLUENZA VACCINE AS PART OF THEIR PHARMACY BENEFIT.  THERE SHOULD BE NO COST FOR ACTIVE DUTY PERSONNEL OR OTHER TRICARE PRIME BENEFECIARIES.  PERSONNEL USING THIS OPTION MUST PROVIDE THEIR MRRS REPRESENTATIVE AND MEDICAL FACILITY DOCUMENTATION OF THE MANUFACTURER, TYPE (INJECTED OR NASAL), LOT NUMBER, AMOUNT (0.2ML OR 0.5ML) AND LOCATION GIVEN (RIGHT ARM, LEFT ARM, NOSE), AND DATE OF ADMINISTRATION OF THE VACCINE WITHIN 1 BUSINESS DAY FOR INCLUSION IN MRRS AND THEIR MEDICAL RECORD.
C.  MRRS PROVIDES DRILL DOWN CAPABILITY TO TRACK COMPLIANCE FROM THE MAJOR SUBORDINATE COMMAND LEVEL TO THE INDIVIDUAL MARINE LEVEL.  IF A COMMAND DOES NOT HAVE ACCESS TO MRRS, CONTACT THE LOCAL MRRS SECURITY OFFICER OR THE HQMC PLANS, POLICY, AND OPERATIONS POC LISTED IN THIS MESSAGE FOR FURTHER ASSISTANCE.
8.  COMMANDERS WILL ENSURE WIDEST DISSEMINATION OF THIS MESSAGE.
9.  THIS MARADMIN IS CANCELLED 1 JULY 2013.
10.  RELEASE AUTHORIZED BY LIEUTENANT GENERAL W. J. WILLIAMS, DIRECTOR, MARINE CORPS STAFF.//